Franklin County Residential Data Form

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Franklin County Auditor
Board of Revision
373 S. High St., 20th Fl.
Columbus, OH 43215

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1. Tax District Number

2. Parcel Number

3. Map Routing

4. Is the owner an individual(s) or business/public/political subdivision(s)?*

Individual(s)Business/Public/Political subdivision(s)

4a. Owner Name

First NameMiddle NameLast NameSuffix

4b. Additional Owner Name

First NameMiddle NameLast NameSuffix

4a. Owner Name

4b. Additional Owner Name

5. Address

Street Address

Street Address Line 2

CityState

Zip Code

6. Date of Purchase

Date

6a. Amount of Purchase

6b. Any personal Property or Special Financing in this sale?

YesNo

7. Year Constructed

Rows	Year Constructed
House
Garage
Other

8. Story Height:

1 Story1½ Story2 StoryOther

9. Room Count

Rows	Room Count
Total Rooms
Bedrooms
Family Rooms
Full Baths
Half Baths
Dining Rooms

10. Basement

SlabCrawlPartialFull

11. Attic

12. Heating

NoneCentralSpace HeatersRooms

13. Fuel Type

GasElectricOilOther

14. Central Air

YesNo

15. Wood Burning Fireplace(s)

YesNo

Total number of Wood Burning Fireplace(s)

16. Was any building(s) constructed after the date of purchase?

YesNo

7a. If Yes, what was the construction

Date

Cost

7b. Description of building(s)

Short description

17. Was any buildings improved after the date of purchase

YesNo

If yes, please describe improvements below

Rows	Type of Improvement	Year	Cost
Interior Remodel
Room Additions
Baths - New - Remodel
Plumbing - Electrical
Heat - Air Conditioning
Other

18. What is the dwelling's interior condition compared to its exterior condition?

The SameBetterPoorer

Note: Please include any additional needed information on the Additional Information

Date

Signature

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState

Zip Code

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Franklin County Residential Data Form

Dwelling Information

Construction/Improvement Information